| NPI | 1013720879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS ESSIEN Medical Director 877-788-6343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-04-30 |